Dominique Poulin Environmental Health First Nations and Inuit Health Branch Health Canada Health Canada’s Implementation of the Drinking Water Safety Program:

Dominique Poulin

Environmental Health

First Nations and Inuit Health Branch

Health Canada

Health Canada’s Implementation of the Drinking Health Canada’s Implementation of the Drinking Water Safety Program: Successes and ChallengesWater Safety Program: Successes and Challenges

Management of Drinking Water in First Nations Communities South of 60˚

First Nations:• Daily management & operation of services • Design & construction of facilities

Indian and Northern Affairs Canada: • Funding assistance for design, construction, operation & maintenance of facilities• Funding for training staff such as water treatment plant operators

Health Canada: • With communities, ensures drinking water quality monitoring programs are in place• Training to build First Nations capacity • Advice & recommendations on drinking water quality• Review & advice for project proposals for water & wastewater systems from a public health

perspective

Environment Canada: • Development of guidance and training materials Advice & technical expertise on infrastructure

projects and federal legislation requirements

First Nations communities with 1000 inhabitants or less90 %

Average number of connections per community with at least one piped system

92

Drinking Water to Residents of First Nations Communities

63%16%15%

4%2%

via pipesvia trucks to cisternsvia private water suppliesvia community wellswithout water service

Provision of drinking water to residents of First Nations Communities:

Barriers in First Nations Communities

•Water supply systems are very small

•Communities are small, remote & isolated

•Limited capacity (education and organization)

•Some issues are historicalDuration of DWAs in effect as of December 31, 2007 in Canada

3.4 7.7 9.4

22.2

57.3

0

25

50

75

100

2-3 mths 4-6 mths 7-12 mths 13-24 mths >2+ years

% DWAs

Duration

Background of the Drinking Water Safety Program

• 2003 Federal Budget identified $600M over 5 years to implement the First Nations Water Management Strategy (FNWMS):

• including $116M for Health Canada Drinking Water Safety Program.

• Although progress has been made through the FNWMS, funding ends in March 2008.

• An evaluation of the Strategy, led by INAC, in collaboration with HC, was finalized in December 2007. The evaluation found that:

significant progress has been made under the FNWMS but there continues to be a need to address urgent issues with drinking and wastewater systems in First Nation communities.

• Budget 2008 committed $330 million over the next two years ($54 million to HC) to extend actions under the former Strategy which is now referred to as the First Nations Water and Wastewater Action Plan.

Successes

Since 2001/02, HC has increased its own capacity and the capacity of First Nations communities to sample and test drinking water quality at tap from a public health perspective:

• There are now 647 community sites with access to a Community-based Drinking Water Quality Monitor (CBWM), up from 272 in 2002.

• Some regional offices are standardizing regional training of CBWM in communities.

• Nationally, 43% of piped systems met the recommended weekly monitoring for bacteriological parameters compared to 29% on 2002.

• Five out of seven regions are now fully staffed to implement the FNWMS as planned.

• Six out of seven regions now have a water database in place.

Successes (Cont’d)Development and distribution of national procedures, frameworks, and tools:

• The Procedure Manual for Safe Drinking-Water Quality in First Nations Communities South of 60;

• The National Framework for the Training and Evaluation of Community-Based Drinking Water Monitors ;

• The Procedure for Addressing Drinking Water Advisories in First Nations Communities South of 60°.

Successes (Cont’d)

Health Canada also developed:

• Policy to address drinking water quality in individual wells on reserves and wells with two to four connections

• School kit, in collaboration with INAC & EC, to teach children the importance of keeping water clean and safe

• Collaborative agreements with WHO to carry out research, exchange information with developed and developing countries and generate knowledge on small community water systems

• Risk communication material to assist First Nations Chief and Council and Environmental Health Officers in communicating drinking water advisories

Challenges

• Evaluation of the FNWMS was undertaken by INAC and HC in 2007 to examine progress, relevance and cost-effectiveness/alternatives.

• It found the overall approach remains relevant although some elements need to be revised and/or improved.

• The challenges identified in the evaluation will be addressed over the next two years.

Challenge in Capacity

Limited capacity in First Nations communities to monitor and report on water quality:

• Shortage and high turnover of EHOs and CBWMs;

Action Plan:

HC will:

• Develop a recruitment and retention strategy to increase and maintain the number of EHOs and CBWMs;

• Examine the underlying reasons for limited compliance with sampling frequencies and quality assurance.

Challenge in Perception

First Nations lack of confidence in their drinking water quality:

• Continued First Nations perception that the quality and safety of their drinking water have not improved:

Action Plan:

HC will:

• Explore the issue of First Nations confidence in their drinking water quality.

• Develop public awareness and education campaign to improve understanding of drinking water quality.

Questions?

Dominique Poulin

A/Manager,

Drinking Water Program

Environmental Health Division

First Nations and Inuit Health Branch

Health Canada

Tel: 613-954-6655

E-mail: [email protected]

Website: http:/hc-sc.gc.ca/fnih-spni/promotion/water-eau/index_e.html